Acute Mania and Hemichorea
作者:
Rivka Inzelberg,
Puiu Nisipeanu,
Daphna Joel,
Martha Sarkantyus,
Ralph Carasso,
期刊:
Clinical Neuropharmacology
(OVID Available online 2001)
卷期:
Volume 24,
issue 5
页码: 300-303
ISSN:0362-5664
年代: 2001
出版商: OVID
关键词: Mania;Chorea;Thalamus;Basal ganglia
数据来源: OVID
摘要:
A 61-year-old man suddenly became euphoric and talkative. Later the same day, he developed hemichoreic movements of the left limbs. The patient fulfilled the DSM-IV criteria for a manic episode by abnormally and persistently elevated mood, decreased need for sleep, high distractibility, pressured speech, increased goal-directed activity, and hypersexuality. The mood changes persisted for several weeks. Magnetic resonance imaging of the brain showed a right thalamic infarction. The co-occurrence of hemichorea and mania caused by focal thalamic lesion is very rare. It may be explained by dysfunction in basal ganglia thalamocortical circuitry.
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